Consider TMS to fight depression

Edward Fruitman No Comments

Here at Trifeca Health Center NYC we are proud to offer TMS therapy to patients who are struggling with the effects of depression, all under the watchful eye of Dr Edward Fruitman MD

Depression is not a fun deal, that’s a certainty. Anyone who has ever suffered with low mood will tell you how bad it feels, but when you step it up and suffer from full blown depression, there really doesn’t feel like any hope or light in the world at all. Winter time can be a troubling time for many, with the festive season not too far away, and the guilt of not really feeling that festive coming from nowhere. The important thing to remember here however, is that you are certainly not alone.


The first port of call when you visit the doctor suffering from this upsetting condition is usually anti-depressant medication, but that doesn’t work for everyone, and can sometimes bring about unpleasant side effects, which may be impossible to deal with. If that’s the case, where do you turn?


TMS therapy, or Transcranial Magnetic Stimulation, as it is better known, is an FDA approved treatment for major depression, and for those who haven’t found any help from anti-depressants, or who can’t deal with the side effects.


Beating that winter feeling


Of course, simply feeling down because of the time of year is normal, but when the feelings turn into something much darker, it’s time to take action. TMS could be the answer, a downtime-free process which works to send complex magnetic pulses to the part of the brain which is responsible for altering and affecting mood.


Each session takes around half an hour, and basically involves you sitting in a chair, whilst you let our highly skilled staff work their magic. A magnetic coil will be placed at one side of your head, and will penetrate the brain with magnetic pulses, targeting the prefrontal cortex, which kicks into action your own neurotransmitters, altering cells and creating a balance. What happens then? You get up and go about your daily business, that’s what!


The number of treatments required to achieve a lasting result depends on the person, and this is something that will be discussed with you at your initial consultation. We are dedicated to helping the residents of Manhattan NYC beat their winter depression concerns, looking forward to a festive season that is packed with happy memories, rather than worries that darken such a bright and sparkly time of year.


What’s next?


If this sounds like something you would like to discuss, don’t hesitate to call our helpful and professional staff today and schedule an appointment. We know that every single person who walks through our doors is an individual, and as such as target treatment in a totally individual way too, creating a bespoke plan to suit your needs and the severity of your condition.

Call us today at (800) 385-3905 and look forward to a brighter and happier future.



TMS and fibromyalgia

Edward Fruitman No Comments

How magnetic therapy can help in the battle against fibromyalgia

shoulder-painFor anyone suffering with fibromyalgia, you won’t need me to explain the sometimes debilitating effects. Pain, depression, and a poor standard of life are all standard with the condition, and the rather scary statistic is that fibromyalgia affects between 6-12 million people in the US, and is the most common cause of pain overall.

Regular painkillers generally don’t work, and only dull the pain a little, which doesn’t do a lot for quality of life. Thankfully, there is a new treatment on the block that offers great results, relieving pain symptoms, as well as those that go alongside, such as depression.

TMS-Therapy-New-YorkYou may have heard of TMS (Transcranial Magnetic Stimulation), which is basically a magnetic device which sends waves into specific parts of the brain. This is a non-invasive treatment that has no side effects and is totally painless. TMS has been effectively used for the treatment of depression for a long time now, however it is being developed to help in fibromyalgia patients.

For a consultation, or more information, give us a call today and discuss your needs. There is no need to suffer in silence or needlessly – life is too short.

Article written by Trifecta Health

How TMS helps depression?

Edward Fruitman No Comments

Psychiatrist Dr. Fruitman treat depression with TMS Therapy in NYC and Long Island

TMS helps depressionDepression is a scary and dark condition, and yet it’s more common than we ever realize. These days anti-depressant medications are handed out freely, but unfortunately it’s not always the best road to go down for everyone, and for some this type of treatment doesn’t work either at all, or to a desired degree.

Life doesn’t have to be so dark, and thankfully there are alternatives out there, such as relatively new treatment called TMS, or Transcranial Magnetic Stimulation. There are an increasing number of centers in New York offering this therapy, including here at Trifecta Health Medical Center in downtown Manhattan and Hewlett Long Island, giving patients another option and a brighter future on the horizon.

So,  How TMS helps depression?

  • Is similar to magnetic resonance imaging (MRI)
  • Uses precisely targeted magnetic pulses
  • Stimulates key areas of the brain that are underactive in patients with depression

TMS-New-YorkIt might sound scary, but thankfully it isn’t. The patient simply sits in a chair, similar to that at the Dentist, and a magnetic coil is placed on the head. From the outside, this is all you will know. However, on the inside, magnetic waves are being passed through to the brain, helping to rectify problems. The procedure involves no anesthetic and studies show that 30% of patients displayed a big improvement after 6 weeks, with most patients showing some degree of improvement.

Not at all scary.

On average, patients will require 6 weeks of treatment, involving 5 sessions a week. Of course, everyone varies.

Hope is out there for those suffering from this debilitating condition, and life doesn’t have to be a daily struggle if medications aren’t helping. Speak out, get help today.

Give Trifecta Health a call at (212) 233-2830 to receive TMS consultation with Top New York Psychiatrist Dr. Fruitman.

Bulimia and TMS Therapy

Edward Fruitman No Comments

TMS depression treatment could help those with eating disorders activate connections in the rewards and cravings regions of the brain.

TMS and BulimiaWith the rise of stick thin celebrities in the media these days, it’s no wonder more and more people, both men and woman, are striving for the impossible. This, in its worst form, can lead to health problems, such as eating disorders.

Bulimia is on the rise, whereby sufferers go through periods of severe binge eating and purging behavior, ending in a feeling of extreme guilt, which leads to them making themselves sick, to relieve the guilt and obviously bring back what they’ve eaten. This has severe impact on general health and is a vicious circle that is increasingly hard to break.

No amount of help will ever be easy with conditions such as this, but there are medications, therapies and treatments out there to help sufferers beat the condition and go onto live a happy and healthy life.

One of those treatment, currently under development for treatment of eating disorders such as bulimia, is TMS. Transcranial magnetic stimulation, or electrical stimulation to give it its easier name, has been shown through recent studies to be effective in the reduction of bulimia symptoms. Often used in the treatment of depression, when medications have failed, a recent study of 20 patients with bulimia yielded encouraging results, with six patients showing fantastic response.

So how does this work?

Well, electrical stimulation involves a large magnetic coil being held over the skull – don’t worry, it’s completely painless. The frontal lobes of the brain are targeted, which are next to the area stimulated for depression treatment, and this results in changes in the electrical current, stimulating and affecting behavior patterns. All of this is of course temporary and further sessions would be required.

Before TMS can be used as an accredited treatment for bulimia, more tests and research need to be done, but help is on the horizon, and that in itself is hugely encouraging.

Article written by Trifecta Health

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Individualized Treatment Options for Depression: What works for you?

Edward Fruitman No Comments

Trifecta Health Medical Center offers an individualized depression treatment in downtown Manhattan.

For those suffering with depression, there are a variety of different treatment options, as well as an abundance of hope. For those being treated with medication, antidepressants can provide a great deal of relief. However, antidepressants can also create new frustrations for some, due to possible side effects. For some people, these side effects can include a sense of apathy or indifference. For others, the side effects can include possible weight gain. Understandably, these side effects can cause the individual to become frustrated and therefore, take away from the medication’s helpful effects.

Due to these frustrations, a handful of people end up quitting antidepressants, shortly a

TMS therapy for depression

Depression treatment options at Trifecta Health

fter they start taking them. However, this can cause depressive symptoms to return almost immediately. As a matter of fact, patients suffering from depression should take antidepressants for at least six to twelve months, according to the National Institute of Mental Health (NIMH). This will allow the medication enough time to take effect. However, some individuals are looking for a quicker and more current treatment option for their depression; one that does not include frustrating side effects or a lengthy period of time waiting for the medication to provide them with the relief they are looking for.

At Trifecta Health Medical Center, we provide several different options for treating the exasperating symptoms of depression. From medication to talk therapy and TMS therapy, our facilities have years of experience treating the disorder effectively and comfortably. We are aware that individual differences have an effect on finding the right treatment option. Therefore, we provide a variety of services that all offer the support and relief that works for you.

One of these treatment options is TMS therapy, also known as transcranial magnetic stimulation. This is a non-invasive treatment for depression that we offer at Trifecta Health Medical Center. TMS therapy can offer improvement and relief in as little as a couple of weeks (or six to ten visits). Also, TMS therapy is not accompanied with the same frustrating side effects as antidepressants may have. In other words, this treatment option provides relief in a shorter period of time, with fewer side effects; which can be a better option for someone who is not interested in a treatment involving medication.

For every individual suffering from depression, there are options for treatment. At Trifecta Medical Health Center, we provide these individualized treatment options that can give you the relief you have been waiting for! It’s never too late to reach out and seek the right treatment options for you. Depression does not have to hold you back, and neither do the lack of proper treatment plans. At Trifecta Health Medical Center, we are focused on finding you the right treatment plan and the exact help you are looking for!

TMS Therapy and other treatment options for depression offered by Dr. Edward Fruitman, M.D., and Trifecta Health Medical Center in New York City.

Call Now (212) 233-2830 to schedule consultation with our NYC doctors at Trifecta Health Medical Center.

Article written by Trifecta Health

TMS Therapy is Helpful after Stroke

Edward Fruitman No Comments

Non-invasive brain stimulation TMS Therapy may help stroke survivors recover speech and language function, according to new research in the American Heart Association journal Stroke.


For anyone who has been the victim of a stroke, cared for a victim of a stroke, or have been close to someone who has suffered from this often debilitating event, you may be aware of how frightening and long-lasting the effects can be. One of the main lasting effects is a problem with speech and language. This can be frustrating for sufferers and severely impact one’s recovery, if not given due attention. For a while, speech and language therapy has been the only solution. However, these therapies can lengthy and somewhat frustrating for some individuals. Thankfully, recent studies have given hope for a quicker and more effective recovery for sufferers.

TMS, or transcranial magnetic stimulation, has given hope to finding a quicker recovery method. And when combined with traditional speech and language therapy early on in recovery, the results are certainly encouraging.

Whilst the very term, TMS, sounds daunting, it’s anything but; in fact, it’s very gentle. The procedure involves a handheld magnetic coil held over the patient’s head where waves are sent, penetrating the brain and correcting imbalances.

A small study at the rehabilitation hospital Rehanova and the Max-Planck-Institute for neurological research in Cologne, Germany. recently tested the effectiveness of TMS, and found that  13 stroke survivors who underwent TMS came out showing great improvement. This gives great hope for the future with regards to treatments and therapy.

Further trials are now taking place, with the aim that soon TMS will be a recognized and effective treatment for survivors of stroke.


PLEASE CALL Trifecta Health Medical Center TO MAKE AN APPOINTMENT AT (212) 233-2830 for your complimentary TMS consultation.

TMS Therapy – “Let the Sun in You, Shine”

Edward Fruitman No Comments

Trifecta Health Medical Center and Psychiatrist Dr. Fruitman offers depression treatments in NYC including innovative TMS Therapy, Psychopharmacology and highly effective Ketamine treatment.


Sometimes it’s easy to downplay someone else’s feelings of sadness or self-doubt. Everyone feels unhappy at times, yet sometimes these feelings can lead to complete and utter hopelessness, and if left untreated, feelings of worthlessness and even thoughts of suicide.

Nobody deserves to feel this way, yet thankfully help is available for those who reach out and take that first step to recovery.

Depression is a serious and debilitating condition, and should be treated as such. This is why many treatments are developed year after year, some found to be very effective. Here at Trifecta Health, we believe the most pioneering and positive way to treat depression is to aim for complete cure and eradication of depressive symptoms. This gives the patient the best possible chance of no relapse, and a brighter future.

We offer several, tailor-made treatments for depression. For interested individuals, each treatment is discussed at length and agreed to prior to any commencement. Every individual is different, with different needs and severity of symptoms, and we believe the best way to treat depression is to focus on these aspects of the individual for a personalized and effective treatment plan.

TMS therapy, or transcranial magnetic stimulation, is a new and popular treatment for those who have failed to respond to antidepressant medications. This non-invasive treatment uses pioneering magnetic stimulation to affect the neurotransmitters responsible for mood such as serotonin and dopamine, correcting it back to normal, healthy activity.

Counseling, pharmacology and psychotherapy are also effective treatments for depression, as well as Ketamine, which has been shown to be highly successful in many patients monitored by Dr. Fruitman. As mentioned before, not every treatment works for everyone, and for those that have found no benefit in other methods, Ketamine injections is often an effective solution. This well-known drug, when used as prescribed, works by optimizing the activity of the neurotransmitter called glutamate; affecting mood and eradicating symptoms that can debilitate otherwise.

The treatment of depression is a battle that should not be faced alone. There are many options for treatment, and it’s all about finding the right one that works for the individual. Here at Trifecta, we’re committed to finding that treatment that’s right for you, as well as curing those feelings of hopelessness. Nobody deserves to feel like life isn’t worth living, so call Trifecta Health Medical Center today at (212) 233-2830 and look forward to the sun shining from behind that dark, dark cloud.

Article written by Trifecta Health

Let the summer in – TMS depression treatment

Edward Fruitman No Comments

Trifecta Health Medical Center helps the patient to fight with depression in various ways:  from medication treatment to Transcranial Magnetic Stimulation or TMS.


Summer is almost upon us, and that means light, colour and brightness. All very wonderful things, I’m sure you’ll agree. However, for some of us, no matter what the season, life can be very dark indeed.

A surprising percentage of people are affected by depression in its various forms. This can be anything from feeling down and not knowing why, to full blown, serious depression, which at its very worst, can leave the sufferer feeling like there’s no reason to go on. Nobody deserves to feel this way, and thankfully these days there are many things we can do to make sure that this level of darkness never turns out the light.

The first port of call will more than likely be medication, yet for some, anti-depressants don’t work enough, at all, or they cause side effects that are just impossible to live with. This doesn’t have to be the end of the treatment line, and one method that is particularly effective for those who can’t take anti-depressants for any of the above reasons, is TMS – or to give it its full name, Transcranial Magnetic Stimulation.

Sounds scientific, but how does it work?

A person suffering with depression will have a chemical imbalance in the brain, usually the prefrontal cortex, which is the part of the brain responsible for mood balance. It’s this chemical problem that causes low mood and feeling helpless, but TMS helps correct this imbalance, giving welcome relief to sufferers.

No side effects, no downtime, and it all takes about 30 minutes. Easy! The best part is that this scientific business is all very non-invasive, so you don’t even know anything is going on – it really is as simple as sitting in a chair.

So what happens during the procedure?

Well, as I said, you literally sit in a chair and wait. A magnetic coil is placed at the side of the head, and really that’s all the patient knows about it. What is going on beneath the surface however, is nothing short of amazing. Small currents are passed from the coil, around 2-3cm into the brain, and activate neurotransmitters in the prefrontal cortex of the brain, correcting that imbalance we were talking about.

How many times a patient needs this treatment depends on the individual, however generally multiple visits are required, for around 3-6 weeks for optimum benefit.

Don’t let the darkness win – choose to enjoy summer.

Trifecta Health and Dr Fruitman offers innovative depression treatment- TMS Therapy – in downtown Manhattan. Please call: (212) 233-2830 for your complimentary TMS consultation.

Article written by Trifecta Health

TMS vs ECT for Depression

Edward Fruitman No Comments

The passing of time may be a problem in terms of ageing, yet it does have its advantages, such as advances in technology. With every passing year comes a new development, and thankfully many of them bring new treatments and procedures for conditions which plague many of us.

Depression is a common affliction for many, with sufferers coming from all walks of life and situations. Unfortunately, this isn’t a condition that a pill will always cure, and for some it means additional or alternative treatment therapies.

You might have heard of the somewhat controversial ECT treatment, or electroconvulsive therapy, to give it its more scientific name. There has been some debate over the years regarding this rather invasive therapy, which actually involves shocking the patient into a controlled seizure. ECT has been known to cause memory and concentration problems and unfortunately has to be repeated for it to continue to be effective.

Whilst ECT is effective in terms of helping those with depression which has failed to respond to medications, it does sound rather brutal with respect to side effects. Happily, those advances in technology have brought us TMS, or yet again to be scientific – transcranial magnetic stimulation.

TMS is an altogether gentler therapy, which has no known side effects and is so simple, you can even do it in your lunch hour. TMS works by emitting magnetic pulses into the brain, gently shaking awake the part responsible for mood. No shocks, no seizures. Compared to ECT, TMS can even improve memory and concentration and is extremely likely to have a positive effect on a sufferer of depression.

The softly, softly approach of TMS or the rather more kick-ass approach of ECT? Everyone is an individual, so contact Trifecta Health today to discuss your personal preference.

Article written by Trifecta Health

TMS helps with symptoms of schizophrenia

Edward Fruitman No Comments

Transcranial Magnetic Stimulation (TMS) can improve working memory performance in schizophrenia, bringing function back to healthy, normal levels.

Causes of SchizophreniaThere are many conditions we don’t fully understand. Unfortunately, for those suffering from them, this means there isn’t a completely clear course of treatment or management available, which doesn’t help symptoms or standard of life. While medications are used to manage schizophrenia effectively, the side effects can occasionally be unpleasant, and it never completely cures a sufferer of what can be a terrifying and life-changing condition.

Thankfully there are trials and tests going on to find a definitive management for schizophrenia, such as a recent controlled trial, asking whether Transcranial Magnetic Stimulation (TMS for short) can improve working memory performance in schizophrenia, bringing function back to healthy, normal levels.

Over a period of four weeks, a center in the province of Ontario carried out TMS on 27 medicated sufferers, to find the answer to that exact question. Participants were asked to complete a verbal task before treatment, and again afterwards, and performance was measured based on these results.

So what did it show?

Well the pilot data showed that TMS therapy could possibly be a future, effective treatment for improving the working memory problems evident in patients with schizophrenia. More work is to be done before this becomes a reality, but hope is on the horizon.

As a pioneer of TMS Treatment in New York City,Dr. Fruitman artfully integrates his skills as a psychopharmacologist and psychotherapist, with innovative technology. Transcranial Magnetic Stimulation (TMS) is a non-invasive treatment for depression offered at Trifecta Health Medical Center in downtown Manhattan.

Call Now (212) 233-2830 for TMS consultation at Trifecta Health NYC.

Article written by Trifecta Health


Edward Fruitman No Comments

Neuromagnetic Linkage of TMS for the treatment of ADHD

tms and Dr FruitmanMany studies are showing the positive effects of Transcranial Magnetic Stimulation (TMS) Therapy for the treatment of a variety of psychiatric disorders. TMS Therapy has already been proven effective in the treatment of Major Depressive Disorder, now ADHD is making the headlines in other uses for TMS Therapy. Trifecta Health Medical Center in Downtown Manhattan, NY is opening its eye to alternate uses for this new innovative treatment method.

Research at Arizona State University is now showing that pulsed electromagnetic energy, like those used in TMS Therapy, may be a good alternative for other brain disorders such as ADHD. The targeted pulses of TMS Therapy would stimulate the neurons to increase nerve activity. ADHD is shown to respond from treatments that stimulate dopamine receptors. By stimulating the entire neuron the dopamine is efficiently and expertly stimulated.

TMS is an ideal method to see the maturation process of motor pathways since it clearly excites the corticomotoneuronal system involved in ADHD. Findings demonstrate a delay in the maturation process of this system in patients with ADHD. By stimulating these pathways we can further the process of development.

Studies published on  show that TMS applied to the left mid-dorsolateral prefrontal cortex induced the release of dopamine as a consequence of direct stimulation. This increase dopamine concentration is shown to decrease symptoms of ADHD.
Studies already show the benefit of increased dopamine in the treatment of ADHD. Now there is an alternative to medication treatment for patients with ADHD. TMS has no adverse side effects and is safe and effective. TMS requires no sedation and is performed on an outpatient basis. Here in Downtown Manhattan, New York; Transcranial Magnetic Stimulation is offered at Trifecta Health Medical Center under the medical direction of Edward Fruitman MD. TMS therapy performed by licensed professionals and prescribed by a psychiatrist.

Transcranial Magnetic Stimulation helps with ADHD

Edward Fruitman No Comments

Transcranial Magnetic Stimulation (TMS), has been proven to help patients with ADHD symptoms.

tms and adhdLife can hard at the best of times – relationships, family, work, money, stress; these can all add up to worry and sleepless nights, yet some people have the added burden of low self-esteem, depression and anxiety on top of life’s curveballs. All tied into this is the potentially debilitating condition of ADHD ( Attention Deficit Hyperactivity Disorder). No, this is not just a children’s affliction, and yes, it can be that bad for those that don’t know how to handle their symptoms, or simply don’t have a diagnosis.

Forgetfulness, indecisiveness, poor concentration, and even finding it hard to socialize with others – all these are symptoms of ADHD and ADD. Thankfully, help is at hand.

Because ADHD and ADD can affect the sufferer’s life to varying degrees, depression and anxiety go hand in hand. TMS, or Transcranial Magnetic Stimulation, has been proven to help sufferers of depression, by correcting the imbalance in the brain that causes these low feelings.

It sounds scary doesn’t it? Well, it really isn’t.

It’s quick, easy and non-invasive. The patient simply sits and waits. There really is nothing more to it than that for the person sat in the chair. Under the surface however, there is magic occurring.

A non-scary looking magnetic coil is gently held against the patient’s head, emitting magnetic fields into the brain, and helping to correct the imbalance. In the specialist case of ADHD/ADD, this is directed towards the part of the brain that is linked as guilty of this imbalance, namely the dorsolateral prefrontal cortex. So for those patients who are suffering from depression and anxiety, existing side by side with ADHD or ADD, this can be a fantastic treatment, offering help with severe symptoms and providing a new lease of life.

Here in downtown Manhattan , New York; Transcranial Magnetic Stimulation is offered at Trifecta Health Medical Center under the medical direction of Edward Fruitman MD. It is performed by licensed professionals and prescribed by a psychiatrist.

Call Now: (212) 233-2830 for TMS consultation at Trifecta Health NYC

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Making Headway on a New Treatment for Depression

Edward Fruitman No Comments
tms therapy nyc

An effective, non-invasive alternative “gave me my life back,” says local man

By Steve Dorfman

tms therapy nycBrett Armstrong has no memory of the event that forever changed his life — a 2003 motorcycle crash that left him in a month-long coma.

He does, however, recall all too well the debilitating after-effects that the traumatic brain injury wrought on his mental and emotional well-being.

“My body healed pretty quickly, but my mind wasn’t right,” says Armstrong, 45, owner of a Palm Beach Gardens landscape-design business. “I couldn’t handle any kind of stress. I would go for days without sleeping. I’d be depressed. I couldn’t function.”

Diagnosed post-accident with bipolar disorder, Armstrong was prescribed a litany of antidepressant and mood-stabilizing drugs.

None produced the desired effect — but they did create plenty of unwanted side effects: “I felt like I was wearing a ‘mental cloak.’ I couldn’t think straight,” Armstrong explains.

In 2009, at the suggestion of friends, he went to a different psychiatry office — Advanced Mental Health Care (AMHC) in Royal Palm Beach. It’s one of just three practices in Palm Beach County (BrainStim in Delray Beach and Chrysalis TMS Institute in Boca Raton are the others) that offer a relatively new, non-invasive, alternative form of treatment for depression: transcranial magnetic stimulation (TMS).

The effects of the TMS were rapid — and dramatic — Armstrong says: “It was like a miracle. TMS therapy gave me my life back.”

FDA-cleared in 2008

The medical exploration of TMS efficacy dates back to 1985. One specific device — the NeuroStar by Neuronetics — was cleared by the U.S. Food and Drug Administration in 2008 for the treatment of major depressive disorders in patients who had failed to derive satisfactory results from antidepressant medication(s).

According to AMHC psychiatrist Dr. Aron Tendler, whose practice was the first in Palm Beach County (and just the seventh facility in the entire U.S.) to acquire a NeuroStar, the machine works by “directly stimulating neurons that are unstimulated when a person is depressed.”

It does so via specifically targeted, repetitive (though painless) magnetic pulses. The patient is awake the entire time.

This is in stark contrast to electroconvulsive therapy (ECT — the modern-day version of “shock therapy”), which requires sedation and is fraught with serious potential side effects (including memory loss).

In addition, unlike with antidepressant drugs, the TMS pulses make no distinction between different chemical neurotransmitters in the brain (serotonin, dopamine, norepinephrine). They simply “wake up” dormant neurons and/or regulate unbalanced brain chemicals in the region that controls mood.

The advantage, explains Tendler, is that the patient’s metabolism — that is, how his or her body processes drugs — is bypassed.

This was especially important in Armstrong’s case. “I’ve always been hypersensitive to even the least amount of medication,” he explains. “I’m sure that’s why the antidepressants and mood stabilizers were so ineffective for me.”

Commitment and cost

According to Advanced Mental Health Care psychologist Kristie DeBlasio, Ph.D., a typical TMS treatment lasts four to six weeks, and totals 20 to 30 individual sessions.

Patients undergo the treatment daily. “It usually lasts about 40 minutes,” DeBlasio explains.

Reported side effects are exceedingly rare, mild, and tend to dissipate quickly. “The worst thing patients usually say about it is that the ‘tap, tap, tap’ of the pulse gets annoying,” notes DeBlasio.

Anecdotal stories, as well as preliminary research, suggest that transcranial magnetic stimulation also can be effective in treating a host of other neurological issues, including Parkinson’s disease, obsessive compulsive disorder (OCD), attention deficit hyperactivity disorder (ADHD), and post-traumatic stress disorder (PTSD), to name just a few.

However, doctors who use it to treat these conditions, or another condition other than severe depressive disorder, are doing so “off-label.”

How quickly patients begin feeling mood elevation varies. Tendler notes, however, that 80 percent of the several hundred patients he has treated with transcranial magnetic stimulation experience marked improvement: “This modality is not experimental — it’s clinically proven.”

Armstrong, for one, certainly doesn’t need convincing: “I can still remember the first treatment. I walked in feeling one way, and left feeling another.”

These days, Armstrong undergoes periodic “maintenance sessions” when he’s feeling particularly stressed. He says, “I always leave feeling better than when I came in.”

The primary obstacle to making the treatment more widespread, says DeBlasio, is cost. “Because insurance companies still think of the treatment as ‘new,’ most resist covering it.”

Thus, patients are forced to pay out of pocket. Earlier this year, The Sun-Sentinel reported $400 as the typical price per TMS session. Do the math, and that means a full course of TMS treatment for depression could run from $8,000 to $12,000.

But for Armstrong, the cost has been well worth it: “People with depression need to know about TMS, because it could change their lives.”

Trifecta Health Medical Center offers TMS therapy in New York City at Financial District.

Call Us for a consultasion at (212) 233-2830

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It’s the most wonderful time of the year?

Edward Fruitman No Comments

SAD during christmas

Well I wish it could be Christmas every day …

This is the sentiment of many a Christmas lover, however the opposite is also true for many.

Christmas, and winter in general, can be a hard time for some, especially those that are known to suffer with depression. Seasonal Affective Disorder (SAD) is very real, and very common. When the days get darker and shorter, many find it difficult to cope and find their mood hitting the pavement. Add to that the pressure to feel happy, seasonal and joyful at this festive time, and the pressure can be a cocktail for unhappy days.

There are many treatments out there for depression and low mood, such as counselling and anti-depressant therapies, however this doesn’t work for everyone. Like a pair of new shoes, it’s a case of bedding them in and finding what works for you.

TMS therapy (or transcranial magnetic stimulation, to give its scientific name) is an alternative therapy to anti-depressants. If you’ve tried medications in the past and found they haven’t worked sufficiently, or if you couldn’t handle the side effects, this is certainly something to look into.

Trifecta Health Medical Center offers this therapy, and is perfectly located for a quick treatment in your lunch break, whilst out shopping or lunching, with no need to upset your daily routine or schedule too much. Patients will undergo a painless, non-invasive treatment, which involves a magnetic coil, not too scary looking, being placed at the side of the head and from the patient’s point of view, that’s all that happens. Of course, inside the brain, magic is at work.

We all know that mood is affected by the brain, and the neurotransmitters that work inside. TMS therapy uses magnetic stimulation to penetrate inside the head and work with these pesky neurotransmitters to restore balance and, hopefully, harmony.

Sound good? Well, even better, this treatment only takes around half an hour and although you’ll need multiple visits for on average 3-6 weeks, you will notice a difference and it’s completely painless.

Christmas is a time to be enjoyed, and let’s hope that this year, we all crack a festive smile.

Trifecta Health Medical Center
115 Broadway, Suite 1300
New York, NY 10006
(212) 233-2830


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TMS for depression covered by insurancesTranscranial magnetic stimulation (TMS) as a treatment for depression is finally gaining acceptance as an alternative to medication and other therapies, according to a report in the Tennessean. Medicare began covering TMS in cases where other therapies have failed as of Dec. 1, and Magellan Behavior Health Inc., a specialty insurance administrator, will provide coverage as of Jan. 1.

Dr. Oz has talked about the treatment on his show in the past, saying he believed it could be an effective treatment, and asking: “Why is every psychiatrist in the country not thinking about this for patients?”

So what is NeuroStar TMS? It is an alternative to electroconvulsive therapy, or shock treatments, for those who don’t respond to drugs or traditional psychotherapy. A patient sits in the chair while a magnetic pulse emitter transmits energy from a levered arm, according to the report, which compared the process to undergoing dental X-rays.

“When this large magnet pulses repetitively, it causes an electromagnetic field, which then passes through the skull and stimulates the brain tissue itself,” Dr. Scott West, a psychiatrist who pioneered the treatment in Nashville 2 1/2 years ago said in the report. He explained this results in a cascading effect that results in the interior nerve fibers connecting better.

Additionally, a clinical trial funded by the National Institutes of Health revealed a “significant effect of treatment” when patients received TMS, and compared outcomes of those receiving the treatment to a placebo group. The results showed depressed patients who received the TMS treatment had remission rates four times higher than those in the sham group, according to The Tennessean report.

Although the treatment is costly – as much as $400 for a 37-minute session, and usually requires multiple sessions – it is far less then an extended hospital stay, the report stated.

Magnetic therapy re-energizes patients with depression

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Written by TOM WILEMON
The Tennessean

NASHVILLE, Tenn. — Sick with depression, Harriet Bruce spent her days lying in bed for months at a time.

TMS Therapy in NYCPills didn’t work. Neither did psychotherapy.

So she agreed to a transcranial magnetic stimulation. The new treatment pushes powerful magnetic currents into the front of the brain, the part that controls emotions.

These days, Bruce awakens before her alarm goes off and dives into projects, including monster tasks she once dreaded.

“I have a room in my house in which I had stacked boxes from when we moved 10 years ago that I wanted to get to, but I couldn’t do it,” the Centerville woman said. “But I’ve been working on that.”

Transcranial magnetic stimulation, once considered an experimental treatment for depression, is gaining acceptance since it came on the market four years ago. Beginning today, Medicare will cover the treatments when other therapies have failed. This week, specialty insurance administrator Magellan Behavioral Health Inc. issued medical necessity guidelines for TMS treatment and will provide coverage effective Jan. 1.

 Doctors who use the NeuroStar TMS Therapy system say treatments are more effective than medications with far fewer side effects. It’s an alternative to electroconvulsive therapy — shock treatments — for patients who have not responded to drugs or psychotherapy. But TMS is expensive. It can cost as much as $400 for a 37-minute session and can require multiple treatments. The total bill can range between $8,000 and $12,000.

The cost, however, is less than an extended hospital stay.

“We had several patients who were headed toward the hospital who had this treatment and were able to avoid that,” said Dr. Scott West, a psychiatrist who pioneered the treatment in Nashville 2 1/2 years ago.

How it works

The NeuroStar system resembles a dentist’s chair. A patient sits in the chair while a magnetic pulse emitter transmits energy from a levered arm — a process similar to undergoing dental X-rays. The device makes a clicking noise while delivering the magnetic pulses.

“When this large magnet pulses repetitively, it causes an electromagnetic field, which then passes through the skull and stimulates the brain tissue itself,” said West, explaining a cascading effect that results in the interior nerve fibers connecting better.

Dr. Michelle Cochran, who purchased her TMS system about 18 months ago, said she knows of seven psychiatrists in the area offering the treatments. The devices cost about $100,000, said Cochran, who has treated 45 patients with the therapy.

“Most people are not scared of it,” she said. “It sounds sort of creepy and weird when you think about it, but for the most part, it is safer in general than taking a medicine. You’ve got less seizure risk than taking a medicine. You’ve got less side effects than taking a medicine.”

Cochran and West cite high patient response rates. A clinical trial funded by the National Institutes of Health revealed a “significant effect of treatment” when patients received TMS treatment. It compared outcomes of patients who actually received the magnetic pulses against patients in a “sham” group, who sat down in the treatment chair for fake sessions.

Depressed patients who received the TMS treatment had remission rates four times higher than those in the sham group.

Insurers reluctant

However, insurers, including UnitedHealthcare and BlueCross BlueShield of Tennessee, remain reluctant to embrace the treatment. UnitedHealthcare’s medical policy for TMS says it is unproved for treating depression.

“Generally speaking, just because a device, procedure or medication has been approved or is deemed to be safe by some entities does not mean that it is automatically covered,” BlueCross BlueShield spokeswoman Kelly Allen said. “Quality and safety are our first priority in setting our medical policy, but those have to be balanced with affordability.”

Cochran does not accept Medicare and has chosen to be an out-of-network provider. West is a Medicare provider.

Said West: “Typically, when Medicare starts to cover something, the excuse of experimental and investigational is no longer valid.” Casino Spiele um echtes Geld : la nécessité de l’argent réel est un véritable problème car le fait de l’argent réel en ligne demande une certaine prise de risque. Les joueurs, étant livré à eux même, peuvent risquer leur capitale sur des casinos mobiles et . Casino41 l’argent réel Casino en ligne pour réussir au casino, qu’il soit la gestion du portefeuille Jouer avec de casinos, à mieux gérer son capital au cours de mieux gérer son portefeuille. Les établissements de risque. Les joueurs, étant livré à travers leurs diverses versions de jeux dont ils n’ont .

Magnetic brain stimulation helps treat depression

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Atlanta Business Chronicle by Urvaksh Karkaria, Staff Writer

Date: Friday, October 26, 2012, 9:41am EDT – Last Modified: Friday, October 26, 2012, 10:30am EDT
Magnetic stimulation helps to treat depression
ACBJ file photo

While powerful magnetic stimulation of the frontal lobe of the brain can alleviate symptoms of depression, those receiving the treatment did not report effects on sleep or arousal commonly seen with antidepressant medications,Georgia Health Sciences University researchers say.

Staff Writer- Atlanta Business Chronicle
While powerful magnetic stimulation of the frontal lobe of the brain can alleviate symptoms of depression, those receiving the treatment did not report effects on sleep or arousal commonly seen with antidepressant medications, Georgia Health Sciences University researchers say.

The finding resulted from a secondary analysis of a study of 301 patients at 23 sites comparing the anti-depressive effects of the Neuronetics Transcranial Magnetic Stimulation (TMS) Therapy System to placebo treatment in patients resistant to antidepressant medications.

TMS sessions were given for 40 minutes, five days a week for six weeks. Initial findings were the primary evidence in the Food and Drug Administration’s approval of TMS for depression. The secondary review reaffirmed TMS’s effectiveness in depression but revealed no differences in rates of insomnia or sleepiness among those who got actual and placebo therapy. Patients in the treatment group were also no more likely to request medication for insomnia or anxiety.

Sleep problems are a common side effect of major antidepressants: some drugs sedate patients while others stimulate them and increase insomnia. Insomnia occurs in 50-90 percent of patients with major depressive disorder. Other depressed patients complain they sleep too much. The good news is that TMS does not contribute to insomnia or oversleeping.

TMS targets the prefrontal cortex of the brain, involved in mood regulation as well as other higher-order functions like planning, evaluating and decision-making. In this procedure, patients sit in a recliner and receive brief pulses of a MRI strength magnet held against the front of the head. The magnetic energy of TMS causes the brain cells closest to the surface of the brain to increase their activity which in turn influences the activity of the brain as a whole.

Major Depressive Disorder affects about 14.8 million, or about 6.7 percent of American adults in a given year, according to the National Institute of Mental Health. It’s the leading cause of disability in ages 15 to 44.

Urvaksh Karkaria covers Technology and Health Care

Brain therapy offers hope for treatment-resistant depression.

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Transcranial Magnetic Stimulation offers hope for treatment-resistant depression.

By Cindy Sutter Camera Staff Writer
Posted:   10/23/2012 09:55:26 AM MDT

TMS in Media by Trifecta Health NYCShe was driving to Boulder after spending the summer at her family’s place in the mountains. What should have been a busy and exciting time, returning to town for her young son to start school instead put the 50-year-old woman on the precipice of disaster — literally.

“I was looking for a place to drive off a cliff,” she says. “I cried all the way home.”

What saved her that day in her severe depression was that one of the family’s two dogs was in the car with her and she didn’t want the dog to die.

What she hopes will save her in the long run is a treatment called Transcranial Magnetic Stimulation, an FDA-approved therapy for treatment-resistant clinical depression in which doctors use a mild electric pulse to stimulate the brain. The therapy, unlike electroconvulsive therapy, once known as electroshock therapy, uses a mild current no stronger than the type used for MRI testing. Unlike ECT, which causes a seizure and requires hospitalization and anesthesia, TMS is done in a doctor’s office in a series 20 to 30 treatments, each lasting about 40 minutes and administered five days a week. The treatment also does not cause cognitive deficits such as memory loss.

Dr. Richard Suddath, who with his partner Dr. Earle Shugerman, owns Boulder Center for TMS in Boulder says they have found TMS effective for many of the roughly 40 patients they’ve treated, since they purchased the TMS machine about a year and a half ago.

“I think it is dramatic,” Suddath says of the results they have seen in some patients. “We have gradually become more confident in its ability to treat some patients who have treatment-resistant depression.”

The Food and Drug Administration approved TMS for patients who have failed in one or more course of treatments with antidepressants, which generally means at least two months of treatment at the therapeutic dose without improvement, Suddath says. In his practice, however, the number of drugs that failed to have an effect is often much higher.

“In most patients, we have seen more than 10 different medications (used) and they’ve been treated for more than a decade,” he says. “Some have even had ECT in the past.”

Thus, the results they have seen with the treatment have been very encouraging, he says.

“We have tended to divide it into thirds,” Suddath says. “A third have had a fairly dramatic improvement. Several have said it’s the best they’ve felt in five or 10 years. “Another third feel 50 percent better with significant improvement.”

Of the final third, about half have had some improvement and the rest experienced minimal benefits.

More than 30 studies back up the efficacy of the treatment for some patients who have not responded to antidepressants. A study reported in Science Daily and published online in June 2012 in Depression and Anxiety, looked at 307 patients in 42 clinics across the United States and found a 58 percent positive response to the therapy and a 37 percent remission rate.

A course of treatment typically costs $8,000 to $12,000. Currently, however, many insurance companies do not cover the procedure, although an increasing number do, Suddath says.

Back from the cliff

The 50-year-old Boulder woman who considered taking her life experienced a striking improvement after years of battling depression.

“My suicidal thoughts were gone after the first 48 hours,” says the woman who asked that her name not be used because of the lingering stigma of mental illness.

Her depression began after the birth of her son in her mid-40s, although the seeds of it were likely sown years before. She grew up in a physically abusive family, which she describes as “full of uncertainty,” and when she was in her 30s she had a serious cycling accident in which she lost consciousness. She believes that her fitness activities — running and cycling — may have helped control or mask her depression, but that when she curtailed activity to take care of her new baby, the depression came crashing down.

“All of a sudden I didn’t know what to do. You don’t recognize you’re depressed,” she says.

But her husband noticed her extreme mood swings and inability to concentrate, which were at levels way beyond those typical for a post-partum woman. She began also to feel anxious. Simply taking her child out of the house was overwhelming.

“It’s a matter of I have to get in the shower. I have to figure out what I’m going to wear. I have to pack up the baby’s bag. I have to get the baby in the car. I have to take the baby out of the car,” she says.

She went for cognitive therapy and was prescribed medication and saw some improvement. During that period, the family moved a couple of times.

“It seemed like every time we moved and lost that stability, I would go a layer deeper,” she says.

She was hospitalized for two months in 2009.

“I had to leave my little son,” she says. “It was the most horrific experience I’ve ever had. You’re locked up. Even though it’s voluntary, you’re locked into a facility.”

Doctors tried several medications without any or only temporary benefits. The family lived for awhile on the East Coast, where she had a constant migraine that would not go away. She felt hopeful coming back to Colorado.

“I thought I would pull myself out of it,” she says.

But the depression continued and led her to that desperate drive and finally to the therapy that she hopes will keep her depression in remission.

The treatments are generally done on the left side of the brain with the pulse reaching about 3 centimeters below the brain’s cortex to activate parts of the brain thought to be inactive in patients with depression. She has also received “off label” treatments on the right side of the brain, which she says help with anxiety. She is now on a maintenance dose of treatments about once a month.

She hopes insurance companies will eventually cover the treatment.

“This treatment works,” she says. “It’s not experimental. Insurance companies need to help. Otherwise people are going to take their own life. Marriages are going to break up. Children are going to lose parents. Parents are going to lose children. I want people to know there is an answer.”

‘Feeling very hopeful’

For a 39-year-old Denver woman, her first experience with depression came in her teens — with a year and a half of difficulty functioning and frequent crying. At the time, she and her parents chalked it up to teenage blues, an idea reinforced when the depression lifted before her senior year.

A shorter episode hit her in college. Then, when she was about 25, the depression returned.

“I went to see a therapist for the first time,” she says. “I was in therapy for about a year and made some major life changes, going back to school and moving.”

In grad school she again became depressed, but attributed it to the misery of writing her thesis.

In her early 30s, she experienced one of her worst episodes.

“I kept going to work, but I had to keep my office door closed, because I was crying all the time,” she says. “I sought therapy again. It was the first time anyone said to me, ‘I think you need to see a doctor.'”

She did, and was prescribed antidepressants. Her mood improved. She decided to make more lifestyle changes, taking a job in Colorado with its sunshine and wealth of outdoor activities.

However, as it turned out, she had bipolar disorder with severe depression and mild mania. The antidepressant made the mania worse, leading her to become extremely angry and irritable, alternating with severe depression, crying and suicidal thoughts.

She was hospitalized.

“It took a little while to sink in,” she says. “It made me understand the seriousness of what I was dealing with. I wasn’t able to take one pill and pretend that everything was OK. It was going to require an investment of time to find the right treatment and keep myself well.”

After nine months, she found another medication that seemed to work, but it began to fail, and she fell back to her pattern of suicidal thoughts and crying. Her mother came and stayed with her for two months to help keep her safe.

She tried to work, starting back several times, but not being able to do it.

“Each time, I realized I wasn’t stable enough. That was really hard for me. I get a lot of self worth out of being productive,” she says.

She began to get better and started volunteering and found another job in 2009.

At the end of 2011, her father died of pancreatic cancer, and she began to unravel again under the strain and the grief.

She began researching TMS and began treatment, while also taking a mood stabilizer.

Although many patients are not bothered by the treatments, which feel like tapping, she says they are somewhat painful.

“It feels like a little woodpecker sitting on your ear and tapping into your brain,” she says. “I was able to tolerate it. The discomfort stops as soon as the treatment stops.”

She really began to feel it was worth it about three weeks into treatment.

“The first point was everybody started to say to me that they thought I seemed better,” she says. “I was so afraid to hope that I might actually be feeling better. (Then) I noticed I wasn’t having suicidal thoughts anymore. I wanted to be around people.”

She completed her last treatment a couple of weeks ago.

“I’m feeling very hopeful that the improvements are going to last,” she says. “I can start to make plans. (I can) go back to work and not worry about having to disappear again, start to be social again and get out there to meet new people.”

Innovative science to treat depression

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Published: October 16, 2012

Lakewood Ranch psychiatrist Mark Sylvester is standing on the front line of depression treatment.

As a psychiatrist for Comprehensive MedPsych Systems Inc., a private Sarasota-based behavioral medicine group, Sylvester and his colleagues are using an innovative system that is slowly gaining nationwide recognition.

In 2008, the U.S. Food and Drug Administration approved the use of NeuroStar Transcranial Magnetic Stimulation, a non-drug treatment solution that uses magnetic field pulses, similar to those used during MRI examinations, to increase activity in parts of the brain that control emotional regulation. The system was manufactured by Pennsylvania-based Neuronetics.

In July, Comprehensive MedPsych opened a branch

in Lakewood Ranch. The office features a NeuroStar machine. Sylvester studied medicine at the University of Florida and used the NeuroStar during his residency training. The machine is also being used at some of the top psychiatric hospitals in the country, such as Johns Hopkins and the Mayo Clinic.

The system is available by prescription only and can only be administered by a psychiatrist.

“The number one benefit is there is virtually no side effect,” Sylvester said.

Sometimes there is discomfort from the tapping sensation the magnetic pulse delivers to the scalp. There is a 0.1 percent risk of seizure.

According to the Centers for Disease Control, one out of every 10 Americans reports symptoms of depression and in Florida, between 9.2 and 10.3 percent of adults meet the criteria for depression.

Sylvester said clinical trials have shown NeuroStar improved depression in 55 percent of patients who were not responding to medication. Within his client base, Sylvester had seen improvement up to 70 percent.

Christine Uttaro, 52, of Venice, has used antidepressant medications for 20 years and was not seeing improvements. Within eight weeks of therapy with Comprehensive MedPsych, she witnessed a life-changing turnaround.

“It’s allowed me to celebrate life,” she said. “It keeps me out of the hospital and keeps me functioning.”

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Neuronetics, Inc., Honored with Prestigious Industry Award for the NeuroStar TMS Therapy® System at Phoenix 2012 Conference

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Published: Tuesday, Oct. 16, 2012 – 10:03 am

NeuroneticsPHILADELPHIA, Oct. 16, 2012 — /PRNewswire/ — Neuronetics, Inc., a privately-held medical device company committed to the development of innovative, non-invasive therapies to treat psychiatric conditions, announced today that its NeuroStar TMS Therapy® System has been awarded the prestigious Phoenix 2012 Most Promising New Product Award at the 19th annual Phoenix Conference.  Phoenix, the Medical Device and Diagnostic Conference for Chief Executive Officers, presents awards each year to exceptional individuals and companies representing the medical device and diagnostic industry.

The NeuroStar TMS (Transcranial Magnetic Stimulation) Therapy System is a non-invasive, non-drug therapeutic device that delivers magnetic resonance imaging (MRI)-strength, pulsed magnetic fields to stimulate nerve cells in the part of the brain thought to control mood.  The NeuroStar TMS Therapy® System is the first and only TMS system cleared by the US FDA for major depressive disorder (MDD).  It has been proven to be safe and effective for patients with MDD who have not benefitted from antidepressant medication.  The goal of NeuroStar TMS Therapy is remission from depression without the side effects typical of antidepressant medications.

“On behalf of the entire team at Neuronetics, I am honored to receive the Phoenix 2012 Most Promising New Product Award for NeuroStar TMS, a breakthrough in depression treatment, and appreciative that the industry has recognized its value to patients and physicians,” said Bruce Shook, President and CEO, Neuronetics, Inc.  “We are privileged to offer a proven treatment to the millions of people suffering with major depressive disorder and contribute toward their wellness.”

About Depression

Depression is a serious illness that affects about 20 million Americans annually.  People with depression may experience a range of physically and emotionally debilitating symptoms, including anxiousness, sadness, irritability, fatigue, changes in sleep patterns, loss of interest in previously enjoyable activities and digestive problems.  It is estimated that about four million patients do not benefit from standard treatments for depression, even after repeated treatment attempts.

About NeuroStar TMS Therapy®

Neuronetics’ NeuroStar TMS Therapy System was cleared by the FDA in October 2008 for the treatment of Major Depressive Disorder (MDD).  NeuroStar TMS Therapy is indicated for the treatment of MDD in adult patients who have failed to achieve satisfactory improvement from one prior antidepressant medication at or above the minimal effective dose and duration in the current episode. NeuroStar TMS Therapy is a non-systemic (does not circulate in the bloodstream throughout the body) and non-invasive (does not involve surgery) form of neuromodulation.  It stimulates nerve cells in an area of the brain that has been linked to depression by delivering highly-focused MRI-strength magnetic field pulses. The treatment is available by prescription and typically administered daily for 4-6 weeks.  For full safety and prescribing information, visit

About Neuronetics, Inc.

Neuronetics, Inc., is a privately-held medical device company focused on developing non-invasive therapies for psychiatric and neurological disorders using MRI-strength magnetic field pulses.  Based in Malvern, PA, Neuronetics is the leader in the development of TMS Therapy, a non-invasive form of neuromodulation.  Neuronetics was created as a spin-out of The Innovation Factory, a medical device incubator in Duluth, GA.

NeuroStar®, NeuroStar TMS Therapy® and TMS Therapy® are registered trademarks of Neuronetics, Inc.

SOURCE Neuronetics, Inc.

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